Q: How likely is pregnancy after a tubal reversal surgery?

Smith Laura

Smith Laura

A: The chance of pregnancy after tubal reversal surgery depends on several factors. A woman’s age, egg supply, uterine and tubal anatomy, and men's sperm count all affect pregnancy. The surgical technique used to perform the tubal ligation, whether or not she has had cesarean sections or other pelvic surgery, pelvic scarring, and tubal length are also critical. The greatest chances of pregnancy following tubal reversal surgery are if a woman is less than 35 years old, has normal egg supply, her partner has a normal sperm count, a “filshie clip” laparoscopic tubal ligation, and if there is not extensive pelvic scarring found at surgery. In this “ideal” instance, we would predict that she would have an approximately 50-75 percent chance of having a baby following tubal reversal. At her initial consultation, our physicians discuss a woman’s specific history and surgery, recommended testing, and estimate her chances of pregnancy following tubal reversal.